| Mr William Edward Weber Jr, MD | |
|
1455 W 2nd Street, Bloomington, IN 47403 | |
| (812) 336-6060 | |
| (812) 333-7760 |
| Full Name | Mr William Edward Weber Jr |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 1455 W 2nd Street, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306880216 | NPI | - | NPPES |
| 100183060A | Medicaid | IN | |
| 000000091283 | Other | IN | ANTHEM BLUE SHIELD |
| 240004398 | Other | IN | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 01027410A (Indiana) | Primary |
| Entity Name | Plastic Surgery Associates Of Southern Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225129570 PECOS PAC ID: 3678463825 Enrollment ID: O20040319000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Edward Weber Jr, MD Po Box 1148, Bloomington, IN 47402-1148 Ph: (812) 336-6060 | Mr William Edward Weber Jr, MD 1455 W 2nd Street, Bloomington, IN 47403 Ph: (812) 336-6060 |
Dr. Brook Nicole Cahill, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-332-1977 | |
Mr. Alan Flint Wise, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1455 W Bloomfield Rd, Bloomington, IN 47403 Phone: 812-336-6060 | |
Dr. Elizabeth A Lucich, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-676-4430 |